{"title":"Effectiveness of a neuromuscular exercise program conducted with a physiotherapist in individuals with degenerative meniscal tears.","authors":"Zeynep Bilge Aksu, Hazal Genç","doi":"10.1177/10538127251352977","DOIUrl":"https://doi.org/10.1177/10538127251352977","url":null,"abstract":"<p><p>BackgroundDegenerative meniscal tears are common, causing knee pain, functional limitations, and reduced quality of life. Effective treatment is essential to restore daily functionality. This study evaluated the impact of a neuromuscular exercise program on individuals with degenerative meniscal tears.Materials and MethodsFifty patients (ages 20-65) with degenerative meniscal tears were randomly divided into two groups. Group 1 participated in a physiotherapist-guided neuromuscular exercise program, while Group 2 performed a home exercise program. Both groups underwent treatment three times a week for six weeks. Effectiveness was assessed using the Tegner Activity Level Scale, Knee Injury and Osteoarthritis Outcome Score - Physical Function Short Form (KOOS-PS), Western Ontario Meniscal Evaluation Tool (WOMET), pain assessment, and jump performance before and after treatment.ResultsBoth groups showed significant improvements. However, Group 1 improved WOMET General Calculation, Night Pain, and KOOS-PS Symptoms (p < 0.001). Neuromuscular exercises with physiotherapist support yielded superior outcomes compared to the home program. Significant changes were observed in parameters such as \"Pain Activity\" and \"Pain Rest\" (p < 0.001) in both groups, with notable improvements in Group 1. WOMET tests also showed significant gains for Group 1 (p < 0.001) and Group 2 (p < 0.001).ConclusionPhysiotherapist-supervised neuromuscular exercise programs significantly improved pain, knee function, and quality of life in individuals with degenerative meniscal tears. The findings underscore the added value of professional supervision in maximizing clinical outcomes.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251352977"},"PeriodicalIF":1.4,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144496774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acupotomy for knee osteoarthritis: Literature review and meta-analysis.","authors":"Anqi Di, Danghan Xu, Anxin Zhang, Zhaoxi Liu, Yuxiang Lin, Nanbu Wang, Jun He, Liang Zheng, Fang Fang","doi":"10.1177/10538127251349150","DOIUrl":"10.1177/10538127251349150","url":null,"abstract":"<p><p>PurposeAs a contemporary acupuncture technique combined with modern anatomy and biomechanics, acupotomy was widely used in clinical treatment of knee osteoarthritis (KOA). This article aims to evaluate the advantages and potential of acupotomy of KOA and to provide a reference for clinical decision-making.Patients and methodsWe conducted a comprehensive search across four databases of ancient Chinese classics to trace the historical development of acupotomy. Seven databases were searched for the meta-analysis of Randomized controlled trials (RCTs) that met the criteria to evaluate the clinical efficacy of acupotomy for KOA. Furthermore, we reviewed potential mechanisms underlying acupotomy treatment for KOA.ResultsAcupotomy originated from traditional acupuncture \"Nine Needles\" in China ancient books 2000 years ago, which had advantages in the treatment of muscle and bone related diseases. The results of the meta-analysis following PRISMA2020 showed that acupotomy was helpful for pain relief and improvement of knee mobility in KOA. Experiments showed that acupotomy may treat KOA through a variety of mechanisms, such as inhibiting the expression of inflammatory factors, promoting the proliferation of chondrocytes, affecting the degradation and synthesis of extracellular matrix, and adjusting the mechanical balance of the knee joint.DiscussionThe results of this meta-analysis suggest that the use of acupotomy can effectively improve the pain and increase the range of motion of KOA. The experimental data showed that acupotomy may play a therapeutic role by inhibiting inflammatory factors and changing the mechanical balance of the knee joint. All these can prove that acupotomy treatment has a good prospect.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251349150"},"PeriodicalIF":1.4,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144333216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Matthew Fernandez, Kathryn Di, Marina Pinheiro, Katie de Luca, Jeffrey Hebert, Peter Stilwell
{"title":"\"Guidelines… yeah, they just haven't felt relevant to me.\" A qualitative exploration of chiropractors' perspectives on physical activity promotion.","authors":"Matthew Fernandez, Kathryn Di, Marina Pinheiro, Katie de Luca, Jeffrey Hebert, Peter Stilwell","doi":"10.1177/10538127251350848","DOIUrl":"10.1177/10538127251350848","url":null,"abstract":"<p><p>BackgroundGlobally, almost one-third of adults are considered physically inactive. Chiropractors knownly promote physical activity (PA) within their musculoskeletal management plans, despite their limited PA and sedentary behavior (SB) guideline knowledge.ObjectiveTo deepen our understanding of chiropractors' perspectives, including factors that may influence PA promotion. Specifically our objectives are to (1) explore chiropractors' knowledge of PA guidelines, (2) examine chiropractors' practices in PA assessment and advice, and (3) identify barriers, enablers, and factors influencing PA promotion in chiropractic.MethodsTwenty registered Australian chiropractors were interviewed to understand their perspectives on promoting PA in practice. We used a qualitative descriptive approach with inductive content analysis to identify patterns and themes.ResultsFour themes captured chiropractors' perspectives regarding PA: (1) chiropractors striving to take a person-centered approach to PA promotion, (2) chiropractors had limited knowledge of the PA/SB guidelines, (3) chiropractors relied on their personal intuitions and experience to try and be PA role models for their patients, and (4) chiropractors identified important enablers including longer appointment time and patient motivation as well as barriers such as limited knowledge, skill and time. Chiropractors identified interest and motivation as patient barriers.ConclusionChiropractors have limited PA/SB guideline knowledge but nevertheless report being confident, safe and person-centered with respect to PA promotion, often relying on their own experiences to be PA role models for their patients. Supporting behavior change among chiropractors, while addressing time constraints and patient motivation are important considerations.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251350848"},"PeriodicalIF":1.4,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144325798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acupuncture for the treatment of pregnancy-related low back pain: A systematic review and network meta-analysis.","authors":"Min Li, Zongyi Xiao, Dongling Tan, Xixi Tang, Daqiang Zhao, Qi Chen","doi":"10.1177/10538127241301682","DOIUrl":"https://doi.org/10.1177/10538127241301682","url":null,"abstract":"<p><p>BackgroundThe effects of acupuncture are rarely studied in pregnant women. A relevant systematic review did not include comparisons with sham acupuncture (SAcu).ObjectiveTo explore the effects of acupuncture, SAcu, and standard care (SC) on pregnancy-related low back pain.MethodsWe searched five medical literature databases for articles published from inception to September 30, 2022. The primary outcome was visual analog scale (VAS) intensity after the intervention. The secondary outcomes were the overall effects of treatment, quality of life (QOL), and QOL was evaluated by the Short Form-36 Health Survey Questionnaire (SF-36).ResultsThe network meta-analysis included eight studies and 864 patients. Six trials were at low risk of bias and two studies had a high risk of bias due to allocation concealment and blinding. Acupuncture and SAcu were relatively more advantageous in terms of analgesic effects after intervention than SC, but there were no differences between them. In terms of overall effects in number of remissions and the SF-36, Acupuncture was found to be superior to other methods, and SAcu was better than SC. Acupuncture had the highest surface under the cumulative ranking curve, followed by SAcu and SC for all outcomes.ConclusionsAcupuncture performs similarly to SAcu in pain relief and is more efficient than SC. Regarding the effectiveness of treatment and QOL, acupuncture therapy was superior to SAcu and SC.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127241301682"},"PeriodicalIF":1.4,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144284482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparison of resistance and stretching exercises in women with primary dysmenorrhea: A randomized controlled trial.","authors":"Ayşe Öz, Metehan Yana","doi":"10.1177/10538127251345961","DOIUrl":"https://doi.org/10.1177/10538127251345961","url":null,"abstract":"<p><p>ObjectiveThis study compared the effects of resistance and stretching exercises on menstrual symptoms, quality of life, and functional and emotional status in young women with primary dysmenorrhea.MethodsIn this randomized controlled trial, 54 women (18-25 years) with primary dysmenorrhea were assigned to stretching (n = 17), resistance (n = 19), or control (n = 18) groups. Outcomes were assessed using the Visual Analog Scale (VAS), Menstrual Symptoms Questionnaire (MSQ), Pittsburgh Sleep Quality Index (PSQI), Health-Related Quality of Life (SF-36), and Functional and Emotional Measure of Dysmenorrhea (FEMD). Assessments were conducted before the intervention and over two menstrual cycles. Exercise groups trained three times weekly for eight weeks.ResultsVAS, MSQ, PSQI, and FEMD scores significantly decreased in both exercise groups compared to the control group (p < 0.05). SF-36 scores were significantly higher in both exercise groups (p < 0.05). Post-treatment, medication use decreased significantly. Subdimension analyses revealed improvements in SF-36 and reductions in MSQ and FEMD subdimensions. No significant differences were found between the resistance and stretching groups in the primary outcomes (p > 0.05).ConclusionBoth resistance and stretching exercises reduce menstrual symptoms and improve quality of life. No significant difference was found; women may choose stretching or strengthening exercises based on personal preference.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251345961"},"PeriodicalIF":1.4,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144284483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nicola Marotta, Ennio Lopresti, Andrea Demeco, Emanuele Prestifilippo, Lucrezia Moggio, Umile Giuseppe Longo, Alessandro de Sire, Antonio Ammendolia
{"title":"Predictive role of surface electromyography and shoulder kinematic analysis on injury risk in padel players: A proof-of-concept study.","authors":"Nicola Marotta, Ennio Lopresti, Andrea Demeco, Emanuele Prestifilippo, Lucrezia Moggio, Umile Giuseppe Longo, Alessandro de Sire, Antonio Ammendolia","doi":"10.1177/10538127251344494","DOIUrl":"https://doi.org/10.1177/10538127251344494","url":null,"abstract":"<p><p>ObjectivePadel, a high-intensity overhead sport, poses significant shoulder injury risks due to repetitive motions and microtrauma. This study utilized an inertial motion unit (IMU) and surface electromyography (sEMG) to identify kinematic and muscle activation patterns distinguishing injury-prone and non-prone players, emphasizing prehabilitation's role in preventing shoulder injuries and enhancing performance.MethodsMale padel players with ≥5 years of experience were assessed at the Rehabilitation Unit of the University Hospital \"Renato Dulbecco\" of Catanzaro, Italy, Participants were stratified into high-risk and low-risk groups based on prior shoulder tendinopathies. Surface electromyography (sEMG) and IMU were used to measure muscle activation and movement smoothness during flexion, abduction, and rotation movements.ResultsThe high-risk group exhibited increased mean jerk during abduction (<i>p</i> < 0.05), indicative of reduced movement smoothness. Muscle activation analysis showed significant overactivation of the biceps brachii and under-activation of the trapezius during shoulder movements. Infraspinatus activation was significantly lower during rotation in the high-risk group (<i>p</i> < 0.001). ROC analysis identified predictive cut-offs for injury risk: mean jerk >2.51, deltoid activation <46%, trapezius activation <30.6%, biceps brachii activation >13%, and infraspinatus activation >25.7%, with sensitivity and specificity exceeding 83% for most parameters.ConclusionsThis study highlights the utility of combining IMUs and sEMG for biomechanical and physiological evaluation in padel players. The findings suggested that decreased movement fluidity and muscle activation imbalances may increase the risk of shoulder injuries. Future longitudinal studies should focus on broader athletic motions, larger sample sizes to refine injury prevention and rehabilitation strategies for padel players.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251344494"},"PeriodicalIF":1.4,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The impact of prehabilitation on postoperative outcomes in spine surgery: A systematic review and meta-analysis.","authors":"Zuyao Liu, Deng Yang","doi":"10.1177/10538127251346600","DOIUrl":"https://doi.org/10.1177/10538127251346600","url":null,"abstract":"<p><p>BackgroundPrehabilitation aims to optimize patients' physical and psychological status before spine surgery to enhance recovery. However, its effectiveness on postoperative outcomes remains remains to be controversial. This meta-analysis aims to evaluate Prehabilitation impact on pain, functional recovery, psychological status, and perioperative outcomes.MethodsA systematic search of MEDLINE/PubMed, Web of Science, Scopus, and Embase was conducted through January 2025 using PRISMA guidelines. A total of 5738 records were initially identified through database searches, of which 3765 remained after duplicate removal. Studies comparing postoperative outcomes in patients undergoing spine surgery with and without prehabilitation were included. Meta-analysis was performed using a random-effects model, with subgroup analyses based on exercise inclusion.ResultsAccording to our inclusion criteria, twenty-seven studies (2449 participants) were deemed appropriate to be included in our study. Our meta-analysis showed prehabilitation significantly reduced postoperative back pain (SMD = -0.4028, p = 0.0269) and improved trunk muscle strength (SMD = 0.1472, p = 0.0142). However, no significant differences were observed for disability (SMD = -0.3772, p-value = 0.5705), quality of life (SMD = 0.0657, p-value = 0.5372), and leg pain (SMD = -0.1921, p-value = 0.3920). In addition, depression, operation time, blood loss, or length of stay were shown to be comparable between the two groups of patients.ConclusionsPrehabilitation may reduce postoperative back pain and improve muscle function, but does not significantly impact disability, quality of life, or perioperative outcomes. Future research should refine protocols and identify patient subgroups that benefit most from prehabilitation.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251346600"},"PeriodicalIF":1.4,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bilgenur Ergün Demiröz, Sinem Sarı, Yusufcan Ekin, Hüseyin Alp Ertuğrul, Osman Nuri Aydın
{"title":"Comparison of conventional radiofrequency thermocoagulation to femoral and obturatory nerve articular branches with intra-articular steroid injection and PENG block in chronic hip pain.","authors":"Bilgenur Ergün Demiröz, Sinem Sarı, Yusufcan Ekin, Hüseyin Alp Ertuğrul, Osman Nuri Aydın","doi":"10.1177/10538127251349152","DOIUrl":"https://doi.org/10.1177/10538127251349152","url":null,"abstract":"<p><strong>Introduction: </strong>Radiofrequency thermocoagulation(RFT), intra-articular steroid-injection(IAI) and PENG block application to the articular branches of the femoral and obturator nerves are the methods used in the treatment of pain in patients with chronic hip pain. We aimed to investigate the effectiveness of these methods.</p><p><strong>Methods: </strong>Randomization was performed as conventional RFT applied to the articular branches of the femoral and obturator nerves with fluoroscopy(Group1), IAI of corticosteroids with ultrasonography(Group2) and PENG block with ultrasonography Group3).Pain intensity was evaluated with the (NRS) or Verbal Pain Scale(VPS) before the procedure and 2 h, 1 and 3 months after the procedure, and functional capacity was evaluated with the (WOMAC) scale before the procedure, 1 and 3 months after the procedure.</p><p><strong>Results: </strong>In Group1, NRS/VPS and WOMAC scores were significantly higher before the procedure. NRS/VPS before the procedure and at the 3rd month were significantly higher in Group2 and Group3.In Group3, 1st month scores were significantly higher than 2nd hour scores. In Group2, pre-procedure WOMAC scores were significantly higher than 1st and 3rd Months, and 3rd Month scores were significantly higher than 1st Month.The 1st month WOMAC scores of Group 3 were significantly higher than the other groups and the 3rd month scores of Group 1 were significantly lower than the other groups.</p><p><strong>Conclusion: </strong>In our study, PENG Block, RFT and IAI applications were effective on short-time pain in patients with chronic hip pain.IAI and RFT were effective on chronic pain until the 1st month, and only RFT was effective at the 3rd month follow-up.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251349152"},"PeriodicalIF":1.4,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Glenisha Ancita DSouza, Charu Eapen, Saurabh P Mehta, Vivek D Patel
{"title":"Cross-cultural adaptation of the lower extremity functional scale in kannada and assessment of its measurement properties - a longitudinal study.","authors":"Glenisha Ancita DSouza, Charu Eapen, Saurabh P Mehta, Vivek D Patel","doi":"10.1177/10538127251343946","DOIUrl":"https://doi.org/10.1177/10538127251343946","url":null,"abstract":"<p><p>BackgroundLower Extremity Functional Scale (LEFS) is a useful tool for evaluating lower extremity (LE) disability, but it has not been adapted for use with Kannada or other regional languages in India.ObjectiveThis study aimed to perform cross-cultural adaptation and Kannada translation of the LEFS (LEFS-K) and examine its psychometric properties.MethodsA Longitudinal study on 150 patients with hip and knee injuries. Numeric Rating Scales for Pain (NRS-P) and disability (NRS-D), and Sit-to-stand (5STS) was administered at the initial visit. LEFS-K and NRS again 2 days later and at discharge. Intraclass correlation coefficient (ICC) and Cronbach's alpha (CA) assessed test-retest reliability and internal consistency. Pearson correlation coefficients (r) examined concurrent relations. Effects size was calculated for responsiveness. Clinically important (MCID) and statistically true (MDC) were assessed for the LEFS-K.ResultsLEFS-K demonstrated excellent test-retest reliability (ICC = 0.98) and internal consistency (CA = 0.88). Low to moderate correlations (r < 0.70) were observed between the LEFS-K and other measures (NRS-P, NRS-D, and 5STS). The LEFS-K was deemed responsive to assess change for LE disability (ES = 0.84).ConclusionThe Kannada LEFS is proved to be a reliable, valid and responsive tool for evaluating LE MSK disability in Kannada speaking individuals with hip and knee disorders.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251343946"},"PeriodicalIF":1.4,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bilateral sensorimotor dysfunction in the upper extremities in unilateral cervical radiculopathies: A level-specific approach.","authors":"Tuba Eren, Çiğdem Ayhan Kuru","doi":"10.1177/10538127251341822","DOIUrl":"https://doi.org/10.1177/10538127251341822","url":null,"abstract":"<p><p>BackgroundCervical radiculopathy (CR) is a neurological disorder with unilateral motor and sensory deficits. This study examines its bilateral impact on upper extremity function across different nerve root levels to inform rehabilitation approaches.ObjectiveThe aim of this study is to examine bilateral sensorimotor dysfunctions in patients with cervical radiculopathy.MethodsForty-two patients (mean age 44.4 ± 11.05 years; 34 women, 8 men) with C4-5, C5-6, or C6-7 CR and 16 controls (mean age 42.2 ± 15.5 years; 9 women, 7 men) with non-specific neck pain participated. Evaluations included pain (VAS), neck disability (NDI), upper extremity functionality (DASH), muscle strength measurements, sensory function, hand performance, kinesiophobia (TAMPA) and emotional status (Beck Inventory).ResultsAll radiculopathy groups showed significant bilateral muscle weakness (5-12%) in upper extremities and reduced lateral pinch strength compared to controls (p < 0.05). Sensory deficits were severe, with C5 and C6 groups showing 46% reduction in light touch sensation and C7 group exhibiting 80% reduction, with decreased vibration sensation. The C7 group demonstrated the most severe impairments. Psychological assessment revealed kinesiophobia in all groups, with radiculopathy groups showing moderate anxiety compared to mild anxiety in controls, and mild depressive symptoms across all groups.ConclusionsUnilateral cervical radiculopathy leads to significant bilateral sensorimotor impairments, with severity varying by nerve root level. Findings emphasize the need for comprehensive bilateral assessment and rehabilitation programs addressing both affected and unaffected limbs.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251341822"},"PeriodicalIF":1.4,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144215838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}